Medicine Request for Quotation (RFQ)   Reference Number 11393513   Procuring Entity CITY OF LA CARLOTA, NEGROS OCCIDENTAL   Title Medicine   Area of Delivery Negros Occidental   Printable Version Solicitation Number: 2024-0323 Trade Agreement: Implementing Rules and Regulations Procurement Mode: Negotiated Procurement - Small Value Procurement (Sec. 53.9) Classification: Goods Category: Drugs and Medicines Approved Budget for the Contract: PHP 198,800.00 Delivery Period: 0 Day/s Client Agency: Contact Person: Dennis Abela Cagalawan Administrative Officer IV San Agustin Street La Carlota City Negros Occidental Philippines 6130 63-34-7351370 lgulacarlota_bacoffice@yahoo.com Status Active Associated Components Order Bid Supplements 0 Document Request List 0 Date Published 23/10/2024 Last Updated / Time 23/10/2024 12:00 AM Closing Date / Time 29/10/2024 10:30 AM Description City Government of La Carlota Standard Form Number: SF-GOOD-59 Revised on: May 24, 2004 Standard Form Title: REQUEST FOR QUOTATION Date: ______________ Quotation No.________ Company Name Address Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, starting the shortest time of delivery and submit your quotation duly signed by your representative not later than _______________________________________ in the return envelope attached herewith. (SGD.) ROMMEL R. SABIG City Health Officer/BAC CHAIRMAN NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN 2. DELIVERY PERIOD WITHIN _____________ CALENDAR DAYS. 3. WARRANTY SHALL BE FOR A PERIOD OF SIX(6) MONTHS FOR SUPPLIES & MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY. 4. PRICE VALIDITY SHALL BE FOR A PERIOD OF _____________ CALENDAR DAYS. 5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION. 6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATYIONS OF THE PRODUCT BEING OFFERED. ITEM NO. ITEM & DESCRIPTION QTY. UNIT PRICE 1 Cefixime 200mg Capsule 50’s 5 boxes P 2 Ciprofloxacinn 500mg Tablet 100’s 5 boxes 3 Co-amoxiclav 625mg tab 30’s 10 boxes 4 Syphilis kits 50’s 4 boxes 5 HIV Kits 50’s 14 boxes 6 HBS AG Kits 100’s 4 boxes 7 Gram Staining kit 100’s 1 box x-x-x-x-x Brand and Model : ________________________ Delivery Period : ________________________ Warranty : ________________________ Price Validity : ________________________ Name of the Procuring Entity Project Reference Number Name of the Project Location of the Project After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above. _________________________ Printed Name / Signature _________________________ Tel. No. / Cellphone No. ________________________ Date Created by Dennis Abela Cagalawan Date Created 22/10/2024 The PhilGEPS team is not responsible for any typographical errors or misinformation presented in the system. PhilGEPS only displays information provided for by its clients, and any queries regarding the postings should be directed to the contact person/s of the concerned party.       CITY OF LA CARLOTA, NEGROS OCCIDENTAL